Individual provider Active NPI

Nancy J Marren, LICENSED OPTICIAN

  • Optician
  • Farmington, CT
National Provider Identifier
1801498589
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
001357 Issued in CT
Practice address
599 Farmington Ave Ste 201
Farmington, CT 06032-2356
Phone
(860) 837-9676
Fax
(860) 837-9601
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 001357 CT Primary

Addresses

Primary practice location

599 Farmington Ave Ste 201
Farmington, CT 06032-2356

Mailing address

599 Farmington Ave Ste 201
Farmington, CT 06032-2356
Phone (860) 837-9676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001357CTMDOptician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1801498589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 FARMINGTON AVE STE 201",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322356",
            "telephone_number": "860-837-9676",
            "fax_number": "860-837-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 FARMINGTON AVE STE 201",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322356",
            "telephone_number": "860-837-9676",
            "fax_number": "860-837-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARREN",
        "first_name": "NANCY",
        "middle_name": "J",
        "credential": "LICENSED OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "001357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.